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#916 of 11K

00068

HCPCS Procedure Code

HCPCS code 00068 is the #916 most-billed Medicaid procedure code, with $58.9M in payments across 87K claims from 2018–2024. The national median cost per claim is $262.74. Costs vary widely — the 90th percentile is $617.75 per claim, 2.4× the median.

Total Paid

$58.9M

0.01% of all spending

Total Claims

87K

Providers

3

Avg Cost/Claim

$677

National Cost Distribution

How much do providers bill per claim for 00068? Based on 3 providers billing this code nationally.

Median

$262.74

Average

$367.40

Std Dev

$300.75

Max

$706.50

Percentile Distribution (Cost per Claim)

p10
$158.91
p25
$197.85
Median
$262.74
p75
$484.62
p90
$617.75
p95
$662.12
p99
$697.62

50% of providers bill between $197.85 and $484.62 per claim for this code.

90% bill between $158.91 and $617.75.

Top 1% bill above $697.62.

About This Procedure

HCPCS code 00068 was billed by 3 providers across 87K claims, totaling $58.9M in Medicaid payments from 2018–2024. This code was used for 83K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$262.74

Providers Billing

3

National Spending

$58.9M

Avg/Median Ratio

1.40×

Normal distribution

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.